Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $615.83 / $4,704.00 / $8,728.00	Facility		$615.83	$4,704.00	$8,728.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $443.99 / $622.88 / $709.07	Professional		$443.99	$622.88	$709.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $270.12 / $542.13 / $815.09	Facility		$270.12	$542.13	$815.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $353.76 / $540.87 / $581.55	Facility		$353.76	$540.87	$581.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $270.12 / $591.22 / $815.09	Facility		$270.12	$591.22	$815.09
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $7,664.00 / $36,803.00	Facility		$2,364.00	$7,664.00	$36,803.00